You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

I need to start an American Diabetic Association (ADA) diet“

l am at higher risk for a cesarean section delivery

I am worried about getting diabetes later in life!

"My baby is more at risk for cardiac defects”

Answer and Explanation

The Correct Answer is D

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

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Correct Answer is B

Explanation

The patient should not be ambulating before the procedure as this may cause fetal descent and prevent the success of the version. The other interventions listed are appropriate and important for the safety and well-being of the patient and the fetus during the procedure.

A. Administration of steroids B. Administration of blood C. Restriction of intravascular fluids D. Preparation of the client for invasive hemodynamic monitoring

Correct Answer is B

Explanation

In DIC, there is widespread clotting that can lead to depletion of clotting factors and platelets, resulting in bleeding. The priority in the care of DIC is to correct the underlying cause and to replace lost blood products to prevent hypovolemia and hemorrhage. Therefore, the nurse should anticipate an order for the administration of blood products such as packed red blood cells, fresh frozen plasma, and platelets. Administration of steroids may also be ordered to reduce inflammation and stabilize cell membranes. Restriction of intravascular fluids may be necessary to prevent further bleeding, but it is not the first priority. Invasive hemodynamic monitoring may be used to assess the client's fluid and electrolyte status, but it is not typically the first intervention.

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You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?

Correct Answer is B

Explanation

In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?

Correct Answer is B

Explanation

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